PROXIMAL HUMERAL LOCKING PLATE small emergency team for broken bones®

optional locking - non locking in shaft optimal reconstruction of the joint easy adjustment due to longhole HUMERAL HEAD PLATE emergency team for broken bones® 37351-XX-N Cortical Screw, locking, D=3.5mm, SH 61273-100 Spiral Drill, D=2.7mm, L=100mm, AO Connector 56252 Screwdriver, WS 2.5, self-holding sleeve 32351-XX Cortical Screw, D=3.5mm 61273-100 Spiral Drill, D=2.7mm, L=100mm, AO Connector 56252 Screwdriver, WS 2.5, self-holding sleeve 37422-XX-N Cancellous Screw, locking, D=4.2mm, SH 61253-180 Spiral Drill, D=2.5mm, L=180mm, AO Connector 56252 Screwdriver, WS 2.5, self-holding sleeve 35204-228...

Features Features Implant: Material: • ultidirectional Locking M • ree choice of screw angle F • 3.5 mm Cortical Screw Ø • 4.2 mm locking Cancellous Ø Screw • natomically contoured A • , 4 - hole 3 • late material: Titanium P • aterial of screws: TiAL6V4 ELI M • asier removal of implant after fracture has E healed • mproved fatigue strength of implant I • educed risk of cold bonding R • educed risk of inflammation and allergy R locking HUMERAL HEAD PLATE All I.T.S. locking plates are anatomically pre-contoured. In the unlikely event that the plate has to be formed to the bone please notice that...

Indications Contraindications • islocated, unstable 2, 3 and D 4-segment fractures of the head of the humerus • algus-impacted 4-segment V fractures of the head of the humerus • seudoarthroses of the head of P the humerus • iaphyseal fractures of the head D of the humerus HUMERAL HEAD PLATE emergency team for broken bones® Locking Humeral Head Plate Fractures of the head of the humerus amount to 5% of all fractures and at least 45% of all humerus fractures. Whereas severe injuries with considerable trauma predominate in younger patients, the head of the humerus can often fracture on slight trauma...

Position of the patient • eachchair position B • djustable accessory table to A support arm position • mage intensifiers from the head i end locking HUMERAL HEAD PLATE i.t.s. 05

Surgical technique • eltopectoral access D • aising the calotte fragment r with reposition onto the shaft fragment (fig.1) • emporary fixation of the T reposition using drill wires (fig.2) • et the tubercular fragments S onto the head fragment • osition the humerus plate 5 mm P distal to the proximal end of the tuberculum majus and 10 mm dorsal to the posterior edge of the sulcus intertubercularis • ixation of the humeral head F plate by means of a cortical screw in the sliding hole • ixation of the humeral head F plate by means of a second cortical screw in the shaft • crew down the head of...

1 2 3 Postoperative • unctionally as early as possible F • f bone quality is bad, shoulder I bandage for max. 4 weeks • assively and actively guided P movement exercises locking HUMERAL HEAD PLATE i.t.s. 07

HUMERAL HEAD PLATE emergency team for broken bones® Order No. 1 Humeral Head Plate, Small, 3-Hole 21132-3 2 Humeral Head Plate, Small, 4-Hole 21132-4 3 Cancellous Screw, Locking, D=4.2mm, L=38mm, SH 37422-38-N Cancellous Screw, Locking, D=4.2mm, L=40mm, SH 37422-40-N Cancellous Screw, Locking, D=4.2mm, L=42mm, SH 37422-42-N Cancellous Screw, Locking, D=4.2mm, L=44mm, SH 37422-44-N Cancellous Screw, Locking, D=4.2mm, L=46mm, SH 37422-46-N Cancellous Screw, Locking, D=4.2mm, L=48mm, SH 37422-48-N Cancellous Screw, Locking, D=4.2mm, L=50mm, SH 37422-50-N Cancellous Screw, Locking, D=4.2mm, L=55mm,...

1 2 12 3 11 8 5 10 9 4 7 6 13 locking HUMERAL HEAD PLATE Cortical Screw, Locking, D=3.5mm, L=36mm, SH 37351-36-N 6 Screw Driver, WS 2.5, with Self Holding Sleeve 56252 7 Depth Gauge, Solide Small Fragment Screws 59022 8 Drill Guide, D=2.0/2.7mm 62202 9 Spiral Drill, D=2.5mm, L=180mm, AO Connector 61253-180 10 Spiral Drill, D=2.7mm, L=100mm, AO Connector 61273-100 11 Guide Wire, Steel, D=2.0mm, L=228mm, TR 35204-228 12 Cortical Counter Sink, with Stop support 63404 13 Sterilization Tray, Humeral Head Plate 50186 i.t.s. 09

LOCKING Locking works because of: • Screw material (TiAlV) is slightly harder than plate material (Titanium Grade 2) • Screw head forms thread into the plate (no cutting) Benefits: • • • • • ± 15° and Locking No pre threading No cold welding No debris Re-setting of screw (up to 3 times) 30° ® DOTIZE Chemical process - anodization in a strong alkaline solution * Type III anodization Dotize Type II anodization Layer thickness 60-200nm Layer thickness 2000-10 000nm + Different colors + Film become an interstitial part of the titanium - Implant surface remains sensitive to: Chipping Peeling Discoloration...

Sterilization Guidelines The following remarks should serve as a guideline in the sterilization of medical products. IMPORTANT INDICATIONS FOR DOCTORS AND OPERATING THEATRE PERSONNEL This instruction leaflet refers to all supplied nonsterile implants and all reusable instruments from I.T.S. GmbH. Detailed information for the identification of the product (such as system classification, cat. no.) can be found in the product identification code and/ or on the package label. Make sure that you are familiar with the possibilities of application, combinability and correct handling of the product....

Sterilization Guidelines Disinfection Equipment: Commercially available disinfectants authorized for use with medical products e.g.. MEDICLEAN FORTE) can be used (but only according to the instructions of the disinfectant producer). In the case of automatic cleaning, a final rinse cycle at 90 °C for 5 minutes can be finally carried out to provide thermal disinfection. Drying Drying as part of the cleaning/ disinfection cycle should not exceed 110 °C. Checking, Maintenance and Inspection • Each instrument or implant is to be inspected carefully to make sure that all visible dirt has been removed....